Contract Details
Ancillary Care Services
Facility name
MedEquip
Provider ID
P000005842
Tax ID
330592703
Effective Date
4/1/2012
Last Updated
9/30/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
84.00
Location Details
Address
4362 Northlake Boulevard Suite 202
Palm Beach Gardens, FL 33410
United States
County
Palm Beach
Phone
8009443422 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Durable Medical Equipment & Medical Supplies
Map
Address